| NPI | 1386171650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: AZ 4241632) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: AZ 4241632) |
| 106S00000X Behavior Technician | |
| 171400000X Health & Wellness Coach | |
| 171M00000X Case Manager/Care Coordinator | |
| 251S00000X | |
| 373H00000X Day Training/Habilitation Specialist | |
| 374700000X Technician | |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2024-07-27 |